Revised from voluntary guidelines issued in 2004, the new standards are mandatory for practitioners working in federal prisons or in the military (and it is hoped that all states will follow them). The guidelines emphasize the critical importance of a coordinated team approach between law enforcement officers, prosecutors, advocates, and health professionals, and prioritize the complex physical and emotional needs victims of sexual assault.

They guidelines also state that voluntary drug or alcohol use by a victim has no impact on the seriousness of the crime committed against them. They also encourage case practitioners, in instances where a victim is reluctant to report the crime, to encourage — but not force or overly pressure — to have a forensic medical exam so that the evidence is collected and available for later use.